International Journal of Mental Health Nursing最新文献

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Use of the Columbia-Suicide Severity Rating Scale Screener in a General Hospital Setting 哥伦比亚自杀严重程度评定量表在综合医院的应用
IF 3.6 2区 医学
International Journal of Mental Health Nursing Pub Date : 2025-03-26 DOI: 10.1111/inm.70029
Harin Kim, C. Hyung Keun Park, Sung Moon Jeong, Soonhaeng Lee, Sun Hee Lee, Junghee Lee, Hyeree Shim, Sumee Kim, Seockhoon Chung
{"title":"Use of the Columbia-Suicide Severity Rating Scale Screener in a General Hospital Setting","authors":"Harin Kim,&nbsp;C. Hyung Keun Park,&nbsp;Sung Moon Jeong,&nbsp;Soonhaeng Lee,&nbsp;Sun Hee Lee,&nbsp;Junghee Lee,&nbsp;Hyeree Shim,&nbsp;Sumee Kim,&nbsp;Seockhoon Chung","doi":"10.1111/inm.70029","DOIUrl":"https://doi.org/10.1111/inm.70029","url":null,"abstract":"<p>Specific differences between interviewer-rated and self-report suicide risk assessments are unknown. This descriptive cross-sectional study examined the acceptance of the Columbia-Suicide Severity Rating Scale (C-SSRS) screener, conducted by nurse-interviewers versus self-reporting, and identified the factors contributing to refusal in each mode. We reviewed the charts of inpatients at a general hospital that included the C-SSRS screener at the time of admission. C-SSRS screening by a nurse-interviewer and self-reported mode were included. Two modes and the acceptors and refusers were compared using descriptive statistics. Multi-variate logistic regression was performed to determine associations between the studied factors and suicide risk. The study included 398 patients. The acceptance of the nurse-interview and self-report modes was 93.8% and 74.7%, respectively. Refusers for the former were more likely to be male (<i>p</i> = 0.029) and from the surgical departments (<i>p</i> &lt; 0.001). Refusers for the latter tended to be older (<i>p</i> &lt; 0.001). Compared to the nurse-interview group, the self-report group was more likely to report a high risk of suicide (odds ratio = 6.508, <i>p</i> = 0.041). Each mode of the C-SSRS screener, when used in general hospital inpatients, has its own advantages and disadvantages. Healthcare providers should select the mode optimal for their institutional environment after comprehensively considering the patients' characteristics and available hospital resources.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 2","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70029","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143707397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Book Review: Loving Someone With a Mental Illness or History of Trauma and I’m Not Alone: A Teen’s Guide to Living With a Parent Who Has a Mental Illness or History of TraumaBy Sherman, M. D. and Sherman, D. M., USA: Seeds of Hope Books, 2025. ISBN: 978-1-42-145050-6 (paperback); 978-1-42-145051-3 (ebook) By   Sherman, M. D. and Sherman, D. M., USA, MN: Seeds of Hope Books, 2025. ISBN: 979-8-9910362-0-7 (paperback); 979-8-9910362-1-4 (ebook) 书评:爱一个有精神疾病或创伤史的人,我并不孤单:一个青少年与有精神疾病或创伤史的父母生活的指南,美国:希望的种子图书,2025。ISBN: 978-1-42-145050-6(平装本);978-1-42-145051-3(电子书)作者:Sherman, m.d.和Sherman, m.d., USA, MN: Seeds of Hope Books, 2025。ISBN: 979-8-9910362-0-7(平装本);979-8-9910362-1-4(电子书)
IF 3.6 2区 医学
International Journal of Mental Health Nursing Pub Date : 2025-03-24 DOI: 10.1111/inm.70023
Sophie Isobel
{"title":"Book Review: Loving Someone With a Mental Illness or History of Trauma and I’m Not Alone: A Teen’s Guide to Living With a Parent Who Has a Mental Illness or History of TraumaBy Sherman, M. D. and Sherman, D. M., USA: Seeds of Hope Books, 2025. ISBN: 978-1-42-145050-6 (paperback); 978-1-42-145051-3 (ebook)\u0000 By   Sherman, M. D. and Sherman, D. M., USA, MN: Seeds of Hope Books, 2025. ISBN: 979-8-9910362-0-7 (paperback); 979-8-9910362-1-4 (ebook)","authors":"Sophie Isobel","doi":"10.1111/inm.70023","DOIUrl":"https://doi.org/10.1111/inm.70023","url":null,"abstract":"&lt;p&gt;In 2008, Michelle and DeAnne Sherman (a mother–daughter clinical psychology and advocate duo) published two books for teens on living with parents with mental illness and trauma (see reviews in this journal: Foster &lt;span&gt;2008a&lt;/span&gt;; Foster &lt;span&gt;2008b&lt;/span&gt;). They have now released a new edition for teens (Sherman and Sherman &lt;span&gt;2025b&lt;/span&gt;), as well as a new book for adults (Sherman and Sherman &lt;span&gt;2025a&lt;/span&gt;). They hope that the books will offer ‘skills, hope and strength’ for family members.&lt;/p&gt;&lt;p&gt;The books are timely, given increasing awareness of the prevalence of trauma and mental illness across society, understanding of the relational aspects of recovery and ongoing research into the experiences of family members living with parents, partners or family members experiencing mental illness or trauma. It is apparent throughout these books that the authors care deeply about this topic and have worked hard to develop useful, reliable and supportive books.&lt;/p&gt;&lt;p&gt;\u0000 &lt;b&gt;&lt;i&gt;I'm Not Alone: A Teen's Guide to Living With a Parent Who Has a Mental Illness or History of Trauma&lt;/i&gt; by Sherman, M. D. and Sherman, D. M., USA: Seeds of Hope Books, 2025. ISBN: 979-8-9910362-0-7 (paperback); 979-8-9910362-1-4 (ebook)&lt;/b&gt;\u0000 &lt;/p&gt;&lt;p&gt;The updated version of this book for teens covers ‘the basics’ of mental illness and trauma; the experience of young people including coping, expressing feelings and seeking support; and strategies for ‘taking care of your own mental health’. It includes fictional scenarios and reflective questions throughout, making it is easy to engage with.&lt;/p&gt;&lt;p&gt;With burgeoning internet resources, information and supports available about mental illness, and increased public mental health literacy since the book's first edition, I wondered if the book may be better suited to younger teens or children rather than all of those within the identified 11- to 18-year-old age bracket. However, a review by young people living in a family with parental mental illness is really needed to know exactly how useful or relevant the content is.&lt;/p&gt;&lt;p&gt;If the authors go on to produce another edition, there is opportunity to acknowledge the agency and capacity of young people to seek out, produce and think critically about knowledge. I would love to see engagement of young people in the writing as co-authors or named collaborators, as well as more clear positioning of the authors' own ‘lived experience’ identified on the book cover but never addressed directly. Additionally, the book has an opportunity to explore alternative ways of understanding and responding to distress, limitations of current approaches to treatment, culturally diverse perspectives and the implications of increased rates of diagnosis and treatment across society. In relation to trauma, there is space for discussion of Complex PTSD and its unique impacts (in line with the ICD-11 diagnostic changes) and reflection on intergenerational trauma as a concept and pheno","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 2","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70023","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143689856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Optimising Scopes of Practice and Team-Based Collaborative Care Through Task-Shifting and Task-Sharing in Mental Health—A Collaborative Patient Care (CPC) Initiative 通过精神健康领域的任务转移和任务分担优化实践范围和团队协作护理--患者协作护理(CPC)倡议。
IF 3.6 2区 医学
International Journal of Mental Health Nursing Pub Date : 2025-03-21 DOI: 10.1111/inm.70025
Jessica Lok, Sarah Kipping, Sanaz Riahi
{"title":"Optimising Scopes of Practice and Team-Based Collaborative Care Through Task-Shifting and Task-Sharing in Mental Health—A Collaborative Patient Care (CPC) Initiative","authors":"Jessica Lok,&nbsp;Sarah Kipping,&nbsp;Sanaz Riahi","doi":"10.1111/inm.70025","DOIUrl":"10.1111/inm.70025","url":null,"abstract":"<div>\u0000 \u0000 <p>Team-based collaborative models utilise a broad range of healthcare clinicians that practise at the top of their licence, while proactively redistributing shared work through task-shifting, offering meaningful ways to contribute to patient care while ensuring high-quality outcomes. A mental health hospital in Canada embarked on a Collaborative Patient Care (CPC) initiative to optimise skill and skill mix of interdisciplinary inpatient teams. Implementation science, specifically the Exploration, Preparation, Implementation and Sustainment (EPIS) Framework, was utilised to guide the project. Following qualitative and quantitative syntheses, analyses and stakeholder engagement, CPC re-imagined team-based care by restructuring one clinical team of recreational therapy and introduced 26 new positions to infuse across the organisation, including new disciplines of rehabilitation assistant, geriatric physiotherapist, occupational therapists and bachelor of social work roles, while recruiting for more child and youth workers, recreational therapists, secretaries, psychologists, behavioural therapists and personal support workers. Scopes of work were defined to support differences (i.e., between Registered Nurses (RN) and Registered Practical Nurses (RPN)) while team responsibilities were designed to support shared practices. An educational upskilling plan was implemented to support unregulated and regulated clinicians to perform at the level of the new model. At the time of this paper, CPC is immersed in its Sustainment stage. CPC represents a comprehensive plan aimed at enhancing patient care through service efficiencies and optimising resource allocation. It is anticipated that the implementation of CPC will contribute to a shared vision for a better future where patients (and families) receive the right care at the right time by the right clinician.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 2","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143677303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Credentialled Mental Health Nurses—A Disappearing Specialty: Current Trends and Attitudes 有资格的心理健康护士——一个正在消失的专业:当前的趋势和态度。
IF 3.6 2区 医学
International Journal of Mental Health Nursing Pub Date : 2025-03-21 DOI: 10.1111/inm.70026
Maureen Sheehan, Jill Evans, Simone Theresa Harvey, Marianne Wyder
{"title":"Credentialled Mental Health Nurses—A Disappearing Specialty: Current Trends and Attitudes","authors":"Maureen Sheehan,&nbsp;Jill Evans,&nbsp;Simone Theresa Harvey,&nbsp;Marianne Wyder","doi":"10.1111/inm.70026","DOIUrl":"10.1111/inm.70026","url":null,"abstract":"<div>\u0000 \u0000 <p>As rates of mental illness continue to rise, mental health nurses are in increasing demand to meet the needs for specialised health care. While mental health nurse credentialing provides a standardised process within Australia to identify suitably qualified nurses to work in the specialty of mental health, the number of credentialled nurses has been declining. This study aimed to identify attitudes and motivations about mental health nurse credentialing. A cross-sectional online survey open to all registered nursing staff working in mental health settings within the Metro South Health district in Queensland and all credentialled mental health nurses in QLD was conducted over a three-month period. The survey indicated that credentialing was valued by many credentialled and non-credentialled nursing staff and was viewed as important to people's professional identity and pride. However, nursing staff did not believe that the process provided any benefits and little value for money as there were no actual benefits associated with being credentialled and the credentialing process had no impact on their private practice or recognition by APHRA. Considering the current workforce shortages of mental health nurses that are predicted to continue to increase, the results indicate the importance of having mental health nurse credentialing at the core of any workforce planning for mental health service delivery.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 2","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143676997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Are “Alternative to Discipline” Programs for Nurses With Alcohol and Other Drug Challenges Relevant to Global Contexts? A Scoping Review 针对酗酒和吸毒护士的“纪律替代”计划是否与全球背景相关?范围检讨
IF 3.6 2区 医学
International Journal of Mental Health Nursing Pub Date : 2025-03-18 DOI: 10.1111/inm.70024
Adam Searby, Rachel Shuster, Leila S. Ledbetter, Marissa D. Abram
{"title":"Are “Alternative to Discipline” Programs for Nurses With Alcohol and Other Drug Challenges Relevant to Global Contexts? A Scoping Review","authors":"Adam Searby,&nbsp;Rachel Shuster,&nbsp;Leila S. Ledbetter,&nbsp;Marissa D. Abram","doi":"10.1111/inm.70024","DOIUrl":"https://doi.org/10.1111/inm.70024","url":null,"abstract":"<p>Alternative to discipline programs, defined as programs for nurses ‘impaired’ by issues such as alcohol and/or drug use, provide treatment and support to return to the profession. This paper aims to explore alternative to discipline programs for nurses to determine whether these programs are relevant to other geographical contexts. A scoping review was conducted in accordance with the JBI methodology. The PRIMSA-ScR checklist was used in this scoping review. The databases searched included MEDLINE (PubMed), Embase (Elsevier), Cumulative Index to Nursing and Allied Health Literature (EBSCOhost), and ProQuest Dissertations and Theses Global (ProQuest) from 1984 to 2024. Title and abstract screening was conducted on 1622 papers, resulting in 90 papers for full-text screening. After full-text screening, 19 papers met the inclusion criteria for this scoping review. Issues related to the cost of programs, strict requirements for abstinence, and a lack of ‘bespoke’ options that address participant needs were identified in this review and need to be addressed prior to global implementation of these programs. Impairment of nurses due to alcohol and/or drug use threatens workforce sustainability, and without ‘alternatives to discipline’, can mean experience nurses are lost to the profession, often without treatment. Exploration of alterative to discipline programs is essential to ensure that nurses with alcohol and other drug challenges are retained in the profession and receive the treatment required to remain safe practitioners. Likewise, the perception that programs were punitive in nature should be addressed to ensure acceptability of these programs as an alternative to the loss of employment.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 2","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70024","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143646095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Empathy Increased in Rural and Remote Health and Social Care Workers by Participation in the Hearing Voices That Are Distressing Simulation Workshop 在农村和偏远地区的卫生和社会护理工作者的共情增加通过参加听力声音是痛苦的模拟讲习班
IF 3.6 2区 医学
International Journal of Mental Health Nursing Pub Date : 2025-03-18 DOI: 10.1111/inm.70027
Carol-Ann Stanborough, Chloe M. E. Fletcher, Lee Martinez
{"title":"Empathy Increased in Rural and Remote Health and Social Care Workers by Participation in the Hearing Voices That Are Distressing Simulation Workshop","authors":"Carol-Ann Stanborough,&nbsp;Chloe M. E. Fletcher,&nbsp;Lee Martinez","doi":"10.1111/inm.70027","DOIUrl":"https://doi.org/10.1111/inm.70027","url":null,"abstract":"<p>Evidence suggests that health care workers are often uncomfortable talking with people about hearing voices, despite recommendations that voice-hearers be provided with opportunities to freely discuss their experiences. Moreover, in rural and remote Australia, workforce shortages mean that a broader range of workers, often non-specialists, are providing services for people with complex mental health presentations. Improving the skills of this non-specialist workforce is therefore an important endeavour. The Hearing Voices that are Distressing (HVD) simulation workshop was originally developed by voice-hearers and provides participants with first-hand experience of what it might be like to hear voices that are distressing. HVD simulation workshops were delivered by a mental health academic, a mental health clinician, and a person with lived experience to 62 health and social care workers in rural South Australia. Mixed methods were used to examine the impact of the workshop on participants' level of empathy for people who hear distressing voices. The revised Kiersma-Chen Empathy Scale assessed changes in empathy, and post-simulation reflective group discussions were qualitatively analysed. Statistically significant increases in empathy were reported following participation in the simulation (p's &lt; 0.001). Participants reflected that having practical experience helped them develop deeper understanding of the impact hearing distressing voices has on a person's day-to-day life; how they may be preoccupied with their internal world; impacting their concentration and engagement with others. Results indicated that this training would be highly valuable for health and social care workers, and particularly generalist workers in rural settings where resources are stretched.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 2","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70027","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143646094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Consumer Experiences of the Australian Stepped Care Model in Primary Mental Health Care: A Qualitative Study 澳大利亚阶梯式护理模式在初级心理卫生保健中的消费者体验:一项定性研究
IF 3.6 2区 医学
International Journal of Mental Health Nursing Pub Date : 2025-03-14 DOI: 10.1111/inm.70022
Shingai Mareya, Mimmie Claudine Watts, Lin Zhao, Michael Olasoji
{"title":"Consumer Experiences of the Australian Stepped Care Model in Primary Mental Health Care: A Qualitative Study","authors":"Shingai Mareya,&nbsp;Mimmie Claudine Watts,&nbsp;Lin Zhao,&nbsp;Michael Olasoji","doi":"10.1111/inm.70022","DOIUrl":"https://doi.org/10.1111/inm.70022","url":null,"abstract":"<p>Mental illness remains a significant public health challenge in Australia, affecting nearly half of the adult population and placing a considerable strain on the healthcare system. The Australian government has implemented the Stepped Care Model (SCM) within primary mental health care to address this issue to improve service access, efficiency, and outcomes. This study explores the experiences of nine consumers (also referred to as patients) who received care under the SCM, focusing on their perspectives on accessing and navigating mental health services. Ethical approval was obtained from the Federation University Human Research Ethics Committee, and measures were implemented to ensure the privacy and confidentiality of all participants. Through a qualitative thematic analysis, five key themes emerged: (1) the mental health impact of life events; (2) hurdles in accessing care; (3) barriers to optimal care; (4) positive experiences with individual practitioners; and (5) mixed sentiments on the effectiveness of the SCM. While participants acknowledged the holistic and interdisciplinary benefits of the SCM, some expressed frustrations with waiting times, limited service capacity, and rigid session limits. Positive therapeutic outcomes were often attributed to empathetic, personalised care from individual practitioners, emphasising the need for continuity in therapeutic relationships. However, participants with complex mental health conditions felt underserved by the model's lack of flexibility. These findings highlight the need to address systemic barriers and enhance the SCM's adaptability to serve individuals with varying mental health needs better. Future research should explore longer-term interventions and more flexible care pathways to optimise the effectiveness of the SCM in Australia.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 2","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70022","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143622702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
May I, Will I and Why. A Shared Lifeworld in a Suicidal Trajectory—Told by Suicide Loss Survivors 我可以吗,我愿意吗,为什么?自杀轨迹中的共同生活世界——由自杀幸存者讲述
IF 3.6 2区 医学
International Journal of Mental Health Nursing Pub Date : 2025-03-07 DOI: 10.1111/inm.70020
Säidi Margot Ovox, Sally Hultsjö, Rikard Wärdig, Patrik Rytterström
{"title":"May I, Will I and Why. A Shared Lifeworld in a Suicidal Trajectory—Told by Suicide Loss Survivors","authors":"Säidi Margot Ovox,&nbsp;Sally Hultsjö,&nbsp;Rikard Wärdig,&nbsp;Patrik Rytterström","doi":"10.1111/inm.70020","DOIUrl":"https://doi.org/10.1111/inm.70020","url":null,"abstract":"<p>Over 100 million people are affected by suicide loss every year. Descriptive and qualitative research describes the consequences of this loss, such as elevated health risks, as well as describing experiences that can potentially lead to resilience for suicide loss survivors (SLS). The facts that suicide loss is highly transformative, and that it affects many people, underscore the need to understand the relationship dynamics leading up to suicide loss. This study aims to explore relational dynamics between suicide victims and the involved SLS in suicidal trajectories that end in death, through examining the SLS lived experiences. The study is designed and conducted through a phenomenological, reflective lifeworld approach. Twenty-two in-depth interviews concerning SLS's lived experiences of suicidality that ended in a loved one's death by suicide were conducted. This study formulates how the relationship between the suicide victims and the SLS in a suicidal trajectory are shaped around the dynamics of ‘May I’, ‘Will I’ and ‘Why’, and explores how living through these concurrent phases creates a suicidal death course. A central finding indicates that suicidality is often shared between the suicide victims and the SLS, and another is that there exists a determinate dynamic of negotiation aiming for a mutual understanding of the intention to die. The essence of an interpersonal relationship in a suicidal trajectory can be understood as ‘an implicit negotiation in which a shared understanding of the intention to die is reached’. This study gives scientific support to the conclusion that SLS may have important information through their own experiences that can be of value for suicide care and assessment.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 2","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70020","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143571311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Integrating Artificial Intelligence (AI) With Workforce Solutions for Sustainable Care: A Follow Up to Artificial Intelligence and Machine Learning (ML) Based Decision Support Systems in Mental Health 将人工智能(AI)与可持续护理的劳动力解决方案相结合:基于人工智能和机器学习(ML)的心理健康决策支持系统的后续研究
IF 3.6 2区 医学
International Journal of Mental Health Nursing Pub Date : 2025-03-07 DOI: 10.1111/inm.70019
Oliver Higgins, Rhonda L. Wilson
{"title":"Integrating Artificial Intelligence (AI) With Workforce Solutions for Sustainable Care: A Follow Up to Artificial Intelligence and Machine Learning (ML) Based Decision Support Systems in Mental Health","authors":"Oliver Higgins,&nbsp;Rhonda L. Wilson","doi":"10.1111/inm.70019","DOIUrl":"https://doi.org/10.1111/inm.70019","url":null,"abstract":"<p>This integrative literature review examines the evolving role of artificial intelligence (AI) and machine learning (ML) based clinical decision support systems (CDSS) in mental health (MH) care, expanding on findings from a prior review (Higgins et al. 2023). Using and integrative review framework, a systematic search of six databases was conducted with a focus on primary research published between 2022 and 2024. Five studies met the inclusion criteria and were analysed for key themes, methodologies, and findings. The results reaffirm AI's potential to enhance MH care delivery by improving diagnostic accuracy, alleviating clinician workloads, and addressing missed care. New evidence highlights the importance of clinician trust, system transparency, and ethical concerns, including algorithmic bias and equity, particularly for vulnerable populations. Advancements in AI model complexity, such as multimodal learning systems, demonstrate improved predictive capacity but underscore the ongoing challenge of balancing interpretability with innovation. Workforce challenges, including clinician burnout and staffing shortages, persist as fundamental barriers that AI alone cannot resolve. The review not only confirms the findings from the first review but also adds new layers of complexity and understanding to the discourse on AI-based CDSS in MH care. While AI-driven CDSS holds significant promise for optimising MH care, sustainable improvements require the integration of AI solutions with systemic workforce enhancements. Future research should prioritise large-scale, longitudinal studies to ensure equitable, transparent, and effective implementation of AI in diverse clinical contexts. A balanced approach addressing both technological and workforce challenges remain critical for advancing mental health care delivery.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 2","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70019","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143571310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Postnatal Depression Beyond 12 Months: A Systematic Review and Meta-Analysis 产后抑郁症超过12个月:系统回顾和荟萃分析
IF 3.6 2区 医学
International Journal of Mental Health Nursing Pub Date : 2025-03-07 DOI: 10.1111/inm.70018
Elsie Hellyer, Katrina Nash, Ellie Jones, Alice Sitch, Jelena Jankovic, Giles Berrisford, Amelia Casey, Christine MacArthur
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